Maikel Roque Ruano

Primary specialty

DentistTaxonomy code 122300000X

License

2901021373 Issued in MI

Practice address

6085 Bird Rd #200
Endodontic Specialists
Miami, FL 33155

Phone

(305) 665-3433

Fax

(305) 667-3775

NPI assigned

May 10, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Empowered Living Community Center Corp.

  • Case Management Agency
  • West Miami, FL
  • NPI 1346809357
  NPD Authorized official
• Roque Group Homes Inc

  • Developmental Disabilities Clinic/Center
  • Hialeah, FL
  • NPI 1215520945
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613260800000",
    "number": "1770875684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6085 BIRD RD STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555254",
            "telephone_number": "305-665-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6085 BIRD RD #200",
            "address_2": "ENDODONTIC SPECIALISTS",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "305-665-3433",
            "fax_number": "305-667-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUE RUANO",
        "first_name": "MAIKEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-10",
        "last_updated": "2021-02-14",
        "certification_date": "2021-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yeliani Roque Orozco
• Yesmin Roque Ortiz
• Jessica M Roque Pacheco
• Dianelys Roque Pinero
• Roger Roque Rodriguez
• Michel Roque Ucio, PMHNP
• Lilia Roque-Guerrero, MD
• Adriana Roque
• Alden Roque, M.D.
• Andres David Roque, PH.D.

• Dentist in Miami, FL
• Providers in Miami, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.